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LOCAL BOARD __________________________________________________________________________ SPORT (s) ______________________________________________________________
PRESIDENT: NAME __________________________________________________________________________________ ADDRESS ______________________________________ ____________________________________ PHONE: (H) ( )___________________________ (B) ( )___________________________
SECRETARY: NAME __________________________________________________________________________________ ADDRESS ______________________________________ ___________________________________ PHONE: (H) ( )____________________________ (B) ( )__________________________
INTERPRETER: NAME __________________________________________________________________________________ ADDRESS ______________________________________ ____________________________________ PHONE: (H) ( )____________________________ (B) ( )__________________________
OFFICIAL APPOINTED TO CONDUCT LOCAL BOARD TRAINING CLASS: NAME __________________________________________________________________________________ ADDRESS ______________________________________ ____________________________________ PHONE: (H) ( )____________________________ (B) ( )__________________________
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